Doctor Name: | DR. SHAWN STEPHEN KEY |
NPI Number: | 1386853893 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | AU.D. |
License Number: | A#396 |
Business Practice Address: | 407 Town Ctr Ne Bella Vista, AR - 727141818 |
Business Phone Number: | 4796576464 |
Business Fax Number: | 4796576609 |
Mailing Address: | 3 Reeves Ln, BELLA VISTA |
State: | AR |
Postal Code: | 727143839 |
Phone Number: | 4326383186 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 01/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 231HA2500X |
License Number: | A#396 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Audiologist |
Taxonomy Specialization: | Assistive Technology Supplier |
Taxonomy Definition: |